{
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"FirstLineMailingAddress": "1296 SIMS ST",
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"MailingAddressFaxNumber": "770-297-1702",
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"EnumerationDate": "09/01/2006",
"LastUpdateDate": "08/22/2020",
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"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SKORPUT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}